Cathleen Peters
Port Saint Lucie,FL
Overview
20
20
years of professional experience
Work History
Chief Billing Manager
Romes Urgent Care Practices, LLC
Mount Pocono, PA
01.2013 - Current
- Conduct onboarding training for new hires in the Billing Department
- Supervise and review all work conducted by Billing Department staff
- Assess staff performance and administer reviews on both an employee and department-wide basis
- Develop strategies to improve billing proficiency, accuracy, and clinic profitability
- Complete credentialing procedures for newly hired providers with contracted insurance companies
- Negotiate with insurance companies on new and existing contracts
- Reconcile monthly Accounts Receivable and Revenue Reports for invoicing
- Prepare and submit billing data and medical claims to insurance companies for each urgent care clinic
- Investigate and appeal denied claims with insurance companies
- Provide support to Billing Department staff by performing responsibilities such as claim follow-up and payment posting when needed
- Generate corporate invoices for medical procedures and services rendered
- Instrumental in the clinic’s expansion to a different state, focusing on insurance contracts and provider credentialing.
Medical Secretary - Family Practice
Gregory Fino, MD & Edward Stachowiak, MD
Blakeslee, PA
01.2006 - 01.2014
- Completed duties for patient registration, scheduling, and insurance verification
- Assisted medical staff with insurance prior authorization requests for patient testing
- Optimized operational efficiency by manually converting high-volume paper patient medical charts to EHR format
- Scanned faxes, test results, and reports into internal computer systems for distribution to appropriate physicians.
Administrative Support Staff
MD STAT Billing Service
Throop, PA
01.2008 - 01.2011
- Provided administrative support for a nationwide billing service
- Reconciled payment batches
- Accurately posted patient and insurance payments
- Identified discrepancies or denials from insurance explanation of benefits.
Administrative Support Staff - Podiatry
Gary Hrobuchak, DPM
Blakeslee, PA
01.2005 - 01.2006
- Prepared patient charts, supported physician with office procedures, scheduled appointments, and answered telephones.
Billing Secretary - Cardiology
Patricia Rylko, MD
East Stroudsburg, PA
01.2005 - 01.2006
- Demonstrated analytical abilities in posting medical charges, payments, and electronic filing with insurance companies
- Conducted accounts receivable follow-up with insurance companies as necessary.
Skills
- Claims Processing
- Training and mentoring
- Program Improvements
- Payment posting
- Process Improvements
- Report Preparation
- Insurance Verification
- Staff Training and Development
- Operations Monitoring
- Procedure optimization
- Collections understanding
Professionalexperiencesummary
- Administrative Support: Managed patient charts, office procedures, appointment scheduling, and telephone operations in a podiatry office.
- Medical Billing: Posted charges and payments, conducted electronic filing, and followed up on accounts receivable in cardiology and orthopedics.
- Medical Administration: Handled prescription refills, prior authorizations, office charts, and patient testing schedules in neurology.
- Billing Coordination: Managed cash receipts, patient data entry, deposit postings, and insurance claims follow-up in prosthetics & orthotics.
- Accounts Management: Established insurance claim protocols, submitted prior authorizations, and managed medical claims for surgical procedures in oral & maxillofacial surgery.
- System Transition: Converted a medical practice from a manual to a computerized management system in orthopedics.
- Financial Coding: Interpreted client instructions for government bond transactions through the Federal Reserve at JP Morgan.
Timeline
Chief Billing Manager
Romes Urgent Care Practices, LLC
01.2013 - Current
Administrative Support Staff
MD STAT Billing Service
01.2008 - 01.2011
Medical Secretary - Family Practice
Gregory Fino, MD & Edward Stachowiak, MD
01.2006 - 01.2014
Administrative Support Staff - Podiatry
Gary Hrobuchak, DPM
01.2005 - 01.2006
Billing Secretary - Cardiology
Patricia Rylko, MD
01.2005 - 01.2006
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